Ultrasound Assessment of Heart and Lungs for Hip Fracture Procedure

NCT03275129 | Completed

• 1 other identifier: US Hip Fracture
• Study Type: interventional
• Target: 225
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators would like to investigate whether performing ultrasound assessments in patients undergoing surgery for hip fractures is able to identify previously undiagnosed heart or lung conditions. The investigators would like to determine whether information provided by this ultrasound assessment is significant enough to alter the anesthetic management plan of these patients. This study has the potential to demonstrate that ultrasound could be used as a diagnostic bedside tool in the perioperative period, possibly altering standard of care for this patient population.

Conditions

Hip Fractures

Keywords

ultrasound assessment

Outcome Measures

Primary Outcomes (1)

• Changes of anesthesiologists' intraoperative management

  Changes of anaesthetic management include any changes in postpone of surgery (Y/N), modes of anesthesia (Y/N), uses of EKG (Y/N), arterial line (Y/N), fluid bolus (Y/N), liberal or restrictive fluid management (Y/N), central venous catherization (Y/N), and inotropic uses.

  During surgery

Secondary Outcomes (2)

• Length of hospital stay

  Time to discharge, an average of 2 days

• Postoperative complications

  Time to discharge, an average of 2 days

Study Arms (1)

Ultrasound assessment of heart and lungs

EXPERIMENTAL

Patients (over the age of 18) who will be undergoing surgery for hip fracture repair. These patients will receive an ultrasound of the heart and lungs to determine whether or not information gained from this ultrasound assessment is significant enough to influence their anesthetic care plan.

Diagnostic Test: Ultrasound assessment of heart and lungs

Interventions

Ultrasound assessment of heart and lungs DIAGNOSTIC_TEST

Patients will receive an ultrasound assessment of their heart and lungs.

Ultrasound assessment of heart and lungs

Eligibility Criteria

• Age: 18 Years - 95 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients undergoing urgent surgery for hip fractures

You may not qualify if:

• under the age of 18 - patients who have a known heart or lung condition that mandates the anesthetic plan

Sponsors & Collaborators

• London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's: lead

Study Sites (1)

LHSC - University Hospital

London, Ontario, N6A 5W9, Canada

Location

Related Publications (9)

• Kline JP. Ultrasound guidance in anesthesia. AANA J. 2011 Jun;79(3):209-17.

  PMID: 21751689 BACKGROUND

• Espinet A, Dunning J. Does ultrasound-guided central line insertion reduce complications and time to placement in elective patients undergoing cardiac surgery. Interact Cardiovasc Thorac Surg. 2004 Sep;3(3):523-7. doi: 10.1016/j.icvts.2004.05.006.

  PMID: 17670301 BACKGROUND

• Guidance on the Use of Ultrasound Locating Devices for Placing Central Venous Catheters. NICE Guideline, 2002.

  BACKGROUND

• Merchant R, Chartrand D, Dain S, Dobson G, Kurrek MM, Lagace A, Stacey S, Thiessen B; Canadian Anesthesiologists' Society. Guidelines to the practice of anesthesia--revised edition 2015. Can J Anaesth. 2015 Jan;62(1):54-67. doi: 10.1007/s12630-014-0232-8.

  PMID: 25323121 BACKGROUND

• Matava C, Hayes J. A survey of ultrasound use by academic and community anesthesiologists in Ontario. Can J Anaesth. 2011 Oct;58(10):929-35. doi: 10.1007/s12630-011-9555-x. Epub 2011 Jul 12.

  PMID: 21748662 BACKGROUND

• Zanobetti M, Coppa A, Nazerian P, Grifoni S, Scorpiniti M, Innocenti F, Conti A, Bigiarini S, Gualtieri S, Casula C, Ticali PF, Pini R. Chest Abdominal-Focused Assessment Sonography for Trauma during the primary survey in the Emergency Department: the CA-FAST protocol. Eur J Trauma Emerg Surg. 2018 Dec;44(6):805-810. doi: 10.1007/s00068-015-0620-y. Epub 2015 Dec 18.

  PMID: 26683569 BACKGROUND

• Markin NW, Gmelch BS, Griffee MJ, Holmberg TJ, Morgan DE, Zimmerman JM. A review of 364 perioperative rescue echocardiograms: findings of an anesthesiologist-staffed perioperative echocardiography service. J Cardiothorac Vasc Anesth. 2015 Feb;29(1):82-8. doi: 10.1053/j.jvca.2014.07.004. Epub 2014 Nov 7.

  PMID: 25440641 BACKGROUND

• Soong C, Cram P, Chezar K, Tajammal F, Exconde K, Matelski J, Sinha SK, Abrams HB, Fan-Lun C, Fabbruzzo-Cota C, Backstein D, Bell CM. Impact of an Integrated Hip Fracture Inpatient Program on Length of Stay and Costs. J Orthop Trauma. 2016 Dec;30(12):647-652. doi: 10.1097/BOT.0000000000000691.

  PMID: 27875490 BACKGROUND

• Chui J, Hegazy AF, German M, Arango-Ferreira C, Fochesato LA, Lavi R, Bainbridge D. Point-of-care lung and cardiac ultrasound (LUCAS) study in hip fracture patients: a prospective cohort study. Can J Anaesth. 2023 Sep;70(9):1474-1485. doi: 10.1007/s12630-023-02511-5. Epub 2023 Jun 21.

  PMID: 37344745 DERIVED

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Study Officials

• Jason Chui

  University of Western Ontario, Canada

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, Anesthesiologist

Model Details: Patients over the age of 18 who arrive to the hospital requiring surgery for hip fracture repair.

Study Record Dates

• First Submitted: August 24, 2017
• First Posted: September 7, 2017
• Study Start: May 28, 2018
• Primary Completion: November 30, 2021
• Study Completion: December 11, 2021
• Last Updated: April 19, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)